Individual
KARLIE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2288 BLUE WATER BLVD, ODENTON, MD 21113-3309
(410) 888-0209
Mailing address
721 GNOME CT, GLEN BURNIE, MD 21061-7502
(410) 353-1036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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